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- 8703 Highway 17 Bypass, Suite I
- Young Talkers
My therapy protocol for a child with moderate to severe CAS follows the DTTC protocol for incorporating a cueing hierarchy to increase and decrease supports in order for the child to practice the movement gestures in an abundant number of trials per session. I use the dynamic assessment previously completed to select targets that are appropriate for the skill level of the child. I use a multisensory approach and incorporate strategies such as simultaneous production, a modified-block practice schedule, and feedback related to performance about movement outcomes. To encourage generalization, I also incorporate prosodic variation and more randomized block practice, as appropriate.
The clinic that I work at regularly participates in Apraxia Awareness Month by taking part in walks and providing information to help raise awareness of CAS in the community. We provide handouts and create social media posts that provide education and resources about CAS.
Parents are encouraged to be active participants in all therapy sessions. After each session, parents are provided with information regarding cueing strategies and practice items to assist their children between sessions in the home environment.
When a child is unable to meet 100% of their communication needs using verbal speech, I implement AAC systems to ease the burden of communication while working to improve verbal output. The use of AAC, helps to encourage language development, increase intelligibility, and improve social interactions. With some children, low tech picture exchange systems are trialed and used to aid in communicating their thoughts, needs, wants, and feelings. With children with more severe apraxia of speech and low intelligibility, I often trial various high tech communication systems on an iPad and provide printed copies for use in the home environment.